Multispecialty Surgery SME,/ TL / AM (Professional & Facility)

ECLAT Health Solutions; Hyderabad; On-site; INR 800,000 - 1,200,000; Full time

Job summary

Eclat-Health-Solutions-4 in Hyderabad is looking for a full-time Multispecialty Surgery SME. The ideal candidate will have over 5 years of surgical coding experience across various specialties. Responsibilities include providing training, coding audits, and ensuring compliance with healthcare guidelines. Certifications such as CPC or CCS are required. Strong knowledge of coding applications is essential. This role involves mentoring coders and conducting workflow improvements, offering a pivotal role in coding operations.

Qualifications

• Certification in CPC, CCS, CIC, or COC required.
• Minimum 5 years of multispecialty coding experience focusing on surgical coding.
• Strong analytical and problem-solving skills.

Responsibilities

• Serve as the resource for multispecialty surgical coding questions.
• Perform accurate coding for complex surgical procedures.
• Provide training and mentoring to coders on complex scenarios.

Skills

Multispecialty professional and facility coding experience

Knowledge of NCCI edits

Communication skills

Analytical skills

Education

CPC, CCS, CIC, or COC certification

5+ years of surgical coding experience

Tools

3M

Optum

Encoder

Job description

Multispecialty Surgery SME, TL/AM (Professional & Facility)

6 - 9

Full-Time

Multispecialty Surgery Coding – SME (Professional & Facility)

Job Summary

We are seeking an experienced Multispecialty Surgery Coding Expert to serve as a Subject Matter Expert (SME) for both professional and facility surgery coding. The SME will provide in-depth knowledge, training, auditing, and guidance on complex surgical coding across multiple specialties, ensuring compliance with ICD-10-CM, CPT, HCPCS, CMS guidelines.

Key Responsibilities

• Serve as the go-to resource for multispecialty surgical coding questions (professional and facility).
• Perform accurate coding for complex surgical procedures across multiple specialties, including orthopedic, cardiovascular, neurological, digestive, urology, general surgery, IVR and transplant cases.
• Review operative reports, anesthesia notes, and other clinical documentation to ensure correct code assignment.
• Provide training, mentoring, and support to coders and auditors on complex surgical scenarios.
• Conduct audits, root cause analysis, and compliance reviews to identify coding/documentation gaps.
• Stay updated on official coding guidelines (CMS, AHA Coding Clinic, CPT Assistant, OIG, and payer-specific policies).
• Develop best practices, SOPs, and workflow improvements for professional and facility surgery coding.

Qualifications & Skills

• Certification: CPC, CCS, CIC, or COC required (CCDS or CCDS-O preferred).
• Minimum 5+ years of multispecialty professional and facility coding experience, with a strong focus on surgical coding.
• Excellent knowledge of NCCI edits, modifiers, and payer-specific guidelines.
• Prior experience as an SME, trainer, or auditor in coding operations preferred.
• Strong analytical, problem-solving, and communication skills.
• Proficiency in 3M, Optum, Encoder, or other leading HIM/coding applications.